Loading...
HomeMy WebLinkAboutPermit File BLD-2021-0723 3804 S Avenue . -' o Cityof Anacortes Invoice/Permit #: BLD-2021-0723 904 6th Street Applied date: 08/25/2021 `""'r P.O.Box 547 Issue date: 08/25/2021 ;O Anacortes, WA 98221-0547 i89r Expire date: 02/21/2023 .6417 (360) 293-1901 Job Address: 3804 S AVE Permit Type: Mechanical Permit ANACORTES WA 98221-3645 Project: APN: P58866 Remarks: Install natural gas piping and tankless water heater in the basement. Owner: BRIAN TURKEN Contractor: THE PLUMBING GUYS INC. Address: 3804 S AVE Address: 2901 T AVE STE 2 ANACORTES WA 98221-3645 ANACORTES WA 98221-2898 Phone: Phone: (360) 293-1878 License #: PLUMBGI961 NJ General Information: Fees: # of Gas Piping 1 Mechanical Permit Fees 55.40 # of Tankless Water Heaters 1 Total Calculated: 55.40 Deposits/Receipts: 0.00 Total Due: 55.40 1�ermits and ins BLD-2021 0723 - 2021 The issuance of granting of hiss�?ermit sh 1. of be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of fti 1 City; fan ig`'a 'lor MW i�l i�rv! drudf4a 'y order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or grjittilg •Of-Itii 1piattitlif ira at6d:to allow construction activity during any period of time when such construction is prohibited or restricted by any state or # d,ral,la�voy O ierohRFR,�cl rrr4 t , guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be vali .'Tlie building official is author zed to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this gifNdlefibri 5 :1fl other ordinan2@.8Fexecutive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of thtiQvg$rm. nTcheitbuilding offiElial2it authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, decision of the Governor. This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and examined this application and know the same to be true and correct. (-75". r _ SIGNATURE OF OWNER ORA HORIZED AGENT SUE GV Y 0 PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT ( PLUMBING & MECHAR99CAL PERMIT APPLICAIi DEN 7, �� Mailing Address: P.O. Box 547,Anacortes, WA 98221 .?coR� Office Location: 904 6th Street,Anacortes WA 98821 Phone: (360) 293-1901 PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS PROJECT ADDRESS(Street,Suite#): PARCEL(S)#: PROJECT VALUATION: 370z/ S' dee Subdivision/Lot#: RESIDENTIAL g. COMMERCIAL ❑ APPLICANT: Phone: TLic rHl7:.�e buy .Tc. (340) 1107 -/95'9 Address(Street,City,State,Zip): Email Address: PROPERTY OWNER: Phone: ,p viae it urk'e 17 Address(Street,City,State,Zip): Email Address: ,3/'Uy 5 ive CONTACT PERSON: Phone: Address(Street,City,State,Zip): Email Address:br/:000 90h-mi ogg Kyr G'Oitl CONTRACTOR:* Phone: J,✓/ e P/iii4 .15 6.7hys, Syr G• l 3/O ')zqs • /r7e Address(Street,City,State,Zip): Email Address: 210i — ,4b s- r. 2 Age- *All Contractors&subcontractors must have a valid City of ir,Professional License#: Exp.Date: Anacortes business license prior to doing work in the City. �� �N� Contact the City's Finance Department at(360)299-1968. Business License#: Exp.Date: Is this work,associated with another project? Yes ❑ Noll, If yes, specify: PROPOSED WORK: 14a-f►.ra.I Cas pi,ii, anj "Tit t' r A€ /er I declare under penalty of perjury that the information I have provided on this form/application is true,correct, and complete,and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of Anacortes. Print Name: }0r`'' n 1a5. Owner 0 Agent LL(specify): Signature: it✓ Date: 8'1,S•2/ MECHANICAL: Equipment Type: Appliance/Equipment Information(new and relocated): Total#: Furnace: Gas#: Elec#: Other#: Location(s): Wall Heater: Gas#: Elec#: Other:#: Location(s): Gas Water Heater: #: Location(s): 3.4 SerwGM.-4 I Heat Pump: Elec#: Other#: Location(s): Air Conditioner/Handler: Elec#: Other:#: Location(s): Radiant/Hydronic Heating: Gas#: Elec#: Other:#: Location(s): Exhaust Fans: Bath#: Laundry#: Kitchen#: Other#: Range Hood: #: Type 1 or 2(Circle which one) Location(s): Fireplace: Gas#: Elec#: Other:#: Location(s): Clothes Dryer&Duct: Gas#: Elec#: Other:#: Location(s): Stove/Range/Oven: Gas#: Elec#: Other:#: Location(s): Refrigeration Unit: Elec#: Other:#: Location(s): Gas Piping/Outlet(s): #: ( Location(s): 3L5 e rn e n 4 1 Boiler: Gas#: Elec#: BTUs: Location(s): Other: #: Location(s): TOTAL MECHANICAL OUTLETS: PLUMBING FIXTURES: Fixture Type(new and relocated): 1 Total#: Fixture Type(new and relocated): Total#: Water Closet(Toilet): Refrigerator water supply(for water/ice dispenser): Kitchen Sink: Pressure Reduction Valve/Pressure Regulator: Utility Sink: Water Service Line: Tub: Water Piping: Hand Sink: Clothes Washer: Shower: Electric Water Heater: Tank-less? Yes 0 No ❑ Dishwasher: Backflow Prevention Device: Urinal: Hose Bib: Floor Drain/Floor Sink: Drinking Fountain: Hydronic Heat in: Floor ❑ Wall ❑ Grease Interceptor: Other: Other: 101111.1111 TOTAL PLUMBING FIXTURES: C � PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT P iE-�I`1 BING AND MECHANIC\L. PERMIT CHECKLDSV 7 Mailing Address:P.O. Box 547, Anacortes, WA 98221 icon Office Location: 904 6th Street, Anacortes WA 98821 Phone: (360) 293-1901 PROJECT ADDRESS: Plans shall be of sufficient clarity to indicate the location,nature, and extent of the work proposed, and conform to the provisions of the adopted International Codes and City Ordinances. 1 PERMIT TYPE: o , c , C AD 5 p SUBMITTAL REQUIREMENTS: ; 2. CD 2- nThe number indicates the number of b C copies for submittal(if applicable). 4 e ' 47 IV P 2 cr . 8' o a. a r) AD ma A Plumbing&Mechanical Permit Application 1 1 1 1 Mechanical Plans 1 0 0 0 Structural Calculations 1 0 0 0 State Non-Residential Energy Code Compliance Form 1 0 0 0 Manufacturer's Specifications/Cut Sheets 1 0 1 0 Elevation View for Roof Mounted Equipment 1 0 1 0 Plumbing Plans 0 0 1 0 Listed&Tested Fire Stopping Assemblies 0 0 1 0 Permit Fee ✓ ✓ 1/ ®0 Existing Floor Plan 2 2 2 2 New Floor Plan 2 2 2 2 NOTES: 1. Handouts and standard details may be found on the City's Planning, Community,&Economic Development website or can be obtained at city hall during normal business hours. 2. Plans, calculation, &reports prepared by state licensed architects or professional engineers must be stamped and signed by the design professional. 3. If installing a backflow prevention device, it will need to pass test results of which will need to be submitted to the city for review.